Get Indiana Form 28808

The Indiana Form 28808 is a crucial document for claiming support of children payable from Family and Children Funds. This guide provides comprehensive, step-by-step instructions on filling out this form online, ensuring clarity and support for users of all backgrounds.

Follow the steps to complete the Indiana Form 28808 effectively.

1. Click 'Get Form' button to access the Indiana Form 28808 and open it in your preferred editor.
2. Begin by entering the vendor name in the designated field (item 1). This should reflect the name of the individual or organization submitting the claim.
3. Input the tax identification number in field 2. This is essential for processing your claim correctly.
4. In field 4, provide the complete address, including the number and street, city, state, and ZIP code, ensuring accuracy for correspondence.
5. Enter the page number in field 5 to keep track of your document. This is particularly necessary if you are submitting multiple pages.
6. Specify the period for which the claim is made in field 6, indicating the start and end dates clearly.
7. Record the invoice number in field 3, which must correspond to the respective billing for services provided.
8. Input the amount of the claim in field 7, ensuring that you double-check your figures for accuracy.
9. Fill in the county name in field 8, offering additional context about where the services were rendered.
10. List the children for whom support and allowances are due in section 9 through 15, including resource ID, person ID, case number, and each child's full name.
11. For each child listed, specify the dates of service in fields 16 and 17. Include the beginning and ending dates.
12. Indicate the unit of service in field 18 and the applicable rate in field 19.
13. Lastly, calculate the total cost in field 20 for all services rendered and ensure the accuracy of this total.
14. Review the certification section carefully. Affirm the correctness of the invoice and provide your signature in field 21, along with the vendor phone number and email address.
15. Date the form in field 24 to validate the submission.
16. Once completed, you can save the changes, download, print, or share the form as needed.

Complete your Indiana Form 28808 online to ensure accurate processing of your claims.